1/ #UncleBob has tips for newly minted clinician-educators. Today I will focus on teaching how to take and present the history. #MedEd
@uabimres @UABGIM @SocietyGIM @ACPinternists
@uabimres @UABGIM @SocietyGIM @ACPinternists
2/ Learn to define and expand patient words - e.g., diarrhea (how often, what color, interfere with sleep, etc.). Patients describe things in words they understand, but often we interpret those words differently. Many such examples: chest pain, dyspnea, weakness, SOB, PND
3/ Try to understand the chronology and use that during presentation. This requires careful questioning so that the learner really understands the chronology.
4/ During the presentation consider 2 paragraphs. The first is the story, told chronologically. The second paragraph of the HPI is the relevant ROS, FH, Social History, Behavioral History, medications and past history.
5/ This (IMHO) is the most important trick I have learned. Let the learners know that you will stop the presentation after the HPI and give feedback. Of course, I do not believe you should do this in the pt room.
6/ Feedback includes how the story is told, and what the learner did not tell us. Almost all learners will do a much better job the next time after receiving that feedback. And most learners appreciate immediate feedback.
• • •
Missing some Tweet in this thread? You can try to
force a refresh
